| NPI | 1508986308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-104658) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-104658) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-07-21 |