| NPI | 1598922957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C170458) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036132934) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036132934) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-06-24 |