| NPI | 1407093537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036135927) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: IL 830158) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036135927) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036135927) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036135927) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2024-05-13 |