| NPI | 1518933977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 44118) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 332505) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.172527) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-11-13 |