| NPI | 1609213958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036142962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-063164) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125-063164) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-12-23 |