| NPI | 1841571841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036167010) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11363300) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 94515) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2024-09-03 |