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 |