| NPI | 1942650130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036156537) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 27506) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 64359) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-07-09 |