| NPI | 1427007426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-112906) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 11711) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN 11711) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-05-26 |