NPI | 1588146088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036164175) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 67515) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2023-07-02 |