| NPI | 1841394939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 149011257) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-02-11 |