NPI | 1376029447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.077362) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A203170) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.166033) | |
Enumeration Date | 2018-07-12 |
Last Update Date | 2025-08-12 |