| NPI | 1235145954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-070157) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036-070157) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036-070157) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-11-01 |