| NPI | 1306901004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36043846) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: IL 36043846) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2025-09-29 |