NPI | 1407952658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036068001) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 44585020) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 30231) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |