NPI | 1861978082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: IL 036166028) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036166028) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2021001539) | |
Enumeration Date | 2018-07-11 |
Last Update Date | 2023-08-04 |