NPI | 1467847251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036148993) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066764) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036148993) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-02-17 |