| NPI | 1386905669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036137635) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301100596) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01078068A) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2023-11-10 |