| NPI | 1578741922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036.146944) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01765) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-11-09 |