| NPI | 1548820210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036164577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218485) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 30662) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68415) | |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2024-01-19 |