| NPI | 1912138660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036166927) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 066441) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 261296) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036166927) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 066441) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2026-04-02 |