| NPI | 1437837762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.176874) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.176874) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.176874) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2026-05-11 |