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 |