| NPI | 1952795254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.145442) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.145442) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125066881) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-12-29 |