| NPI | 1487798971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036068059) |
| Additional Taxonomies | 2084P0805X (Licence: IL 036068059) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-09-11 |