| NPI | 1851775860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036156358) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MT209694) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-12-14 |