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 |