| NPI | 1770140006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036051225) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IL 036051225) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036051225) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-07-31 |