NPI | 1649703281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036156000) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036.156000) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME137231) | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-09-20 |