NPI | 1235344433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.112778) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.112778) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-37527) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2024-11-08 |