| NPI | 1730444183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036140934) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100273) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2016-06-17 |