| NPI | 1881918415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036131637) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01097893A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MEDPHYSCOMLIC113371) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2026-06-16 |