| NPI | 1588617856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036113093) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-113093) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036113093) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-12-03 |