| NPI | 1477500056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036118947) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036118947) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036118947) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.000633) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-03260) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 3035) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036118947) | |
| 2084N0600X (Licence: IL 036118947) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-02-05 |