| NPI | 1427387893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036062361) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036.062361) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2022-02-23 |