| NPI | 1689023152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T5679) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 282492) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125068995) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.147112) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-01-30 |