| NPI | 1558342220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036090369) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036090369) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101020205) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-11-17 |