| NPI | 1962431726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 036-103889) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: IL 036103889) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036103889) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-03-07 |