| NPI | 1689640138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 36064200) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IL 36064200) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2021-11-11 |