NPI | 1821252693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036125881) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301091095) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036125881) | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2012-05-31 |