NPI | 1598732398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36097182) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036097182) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036097182) | |
Enumeration Date | 2006-03-01 |
Last Update Date | 2023-08-29 |