| NPI | 1518976844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-057775) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036-057775) |
| 174400000X Specialist (Licence: IL 036057775) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036-057775) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-04-30 |