| NPI | 1528191756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036124879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087826) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01069178A) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-04-16 |