NPI | 1063828473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: IL 036169037) |
Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (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 |