| NPI | 1356431720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036056868) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: IL 036056868) |
| 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: IL 036056868) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-10-06 |