NPI | 1396722815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036094090) |
Additional Taxonomies | 2084P0805X (Licence: IL 036094090) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2024-08-22 |