| NPI | 1609004738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125056625) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 125056625) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IL 125056625) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2017-10-25 |