NPI | 1548820210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036164577) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025036167) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68415) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 30662) | |
207R00000X Internal Medicine (Licence: PA MT218485) | |
Enumeration Date | 2019-06-16 |
Last Update Date | 2025-09-09 |