NPI | 1144476136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125051233) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-123323) |
207R00000X Internal Medicine (Licence: IL 125051233) | |
Enumeration Date | 2008-08-11 |
Last Update Date | 2021-04-28 |