NPI | 1205015906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036166942) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036166942) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 37338) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 37338) | |
Enumeration Date | 2007-10-30 |
Last Update Date | 2024-02-01 |