| NPI | 1962897108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.157326) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IL 036157326) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-157326) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-04-30 |