| NPI | 1518346568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036150659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036150659) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125069730) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A173514) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2023-05-16 |