| NPI | 1881851780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036125570) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038007829) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-09-19 |