| NPI | 1639322662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036069721) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 036.069721) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036.069721) | |
| 208U00000X Clinical Pharmacology (Licence: IL 036.069721) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2023-09-14 |