NPI | 1851547327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 075196) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 075196) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036129447) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036129447) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2023-05-25 |