NPI | 1053568766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-126565) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125053711) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125053711) | |
Enumeration Date | 2008-08-25 |
Last Update Date | 2011-11-16 |