| NPI | 1548640535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MN 72846) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036144624) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036144624) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-03-28 |