| NPI | 1891710695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036.160757) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2003014689) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD073360L) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: IL 036.160757) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IL 036.160757) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-06-09 |