| NPI | 1972910404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036153120) |
| Additional Taxonomies | 2084N0600X (Licence: MN 60994) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2021-08-03 |