| NPI | 1629203328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036135125) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.135125) |
| 2084N0600X (Licence: IL 036135125) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2025-08-05 |