| NPI | 1063828473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084H0002X (Licence: IL 036169037) |
| Additional Taxonomies | 2084H0002X (Licence: MD D87719) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD471812) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D87719) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-04-04 |