| NPI | 1508228222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036.152940) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125.068382) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IL 036.152940) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-08-18 |