NPI | 1942881370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125078127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125078127) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2024-07-25 |