| NPI | 1689790271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 3640540) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: IL 3640540) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-01-26 |