| NPI | 1770629347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036147635) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CT 046601) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AK 5751) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046601) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 5751) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-01 |