| NPI | 1164576955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000014753) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036177893) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2025019372) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-02-25 |