| NPI | 1164439386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036154637) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A97552) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 016274) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-11-21 |