| 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 |