| NPI | 1326620162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0073614) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340496) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036178251) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2026-01-14 |