| NPI | 1700105970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036-143894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:057571) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-143894) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2021-01-27 |