| NPI | 1508826314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-109841) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036109841) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-06-11 |