| NPI | 1790760676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036107297) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 56643) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 56643) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K8716) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-06-06 |