| NPI | 1912138660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036.166927) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 066441) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036.166927) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 261296) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 066441) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-01-30 |