| NPI | 1215384698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036151760) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 309456) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125068421) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 309456) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-07-07 |