| NPI | 1205983160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036158298) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TN MD0000044399) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD44399) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-01-12 |