| NPI | 1073537130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-30218) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036112644) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-30218) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-04-23 |