NPI | 1588654032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036133959) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 160061) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2014-10-29 |