| NPI | 1710995121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36030570) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036050670) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-02-29 |