NPI | 1629553748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL A-2256-0001-A) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL A-2256-0001-A) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-10-22 |