NPI | 1629635578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036173878) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D97296) |
2084N0600X (Licence: IL 036173878) | |
Enumeration Date | 2019-05-28 |
Last Update Date | 2025-08-06 |