NPI | 1912467747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036164801) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125074358) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2025-08-22 |