NPI | 1083979124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.137750) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 6752) |
Enumeration Date | 2012-07-04 |
Last Update Date | 2025-08-05 |