| NPI | 1629116801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2008-01966) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD P21537) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036118911) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-02-13 |