| NPI | 1285650408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 24886) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: IL 036123610) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M9259) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2002014434) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036123610) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-02-02 |