| NPI | 1427219948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO2450) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.130493) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS 12078) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 17292) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2015-12-21 |