NPI | 1639180193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 51614) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036108411) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R2F26) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2021-04-20 |