| NPI | 1922088111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-111677) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 36111677) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0067846) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-01-24 |