| NPI | 1972701761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-117118) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0074799) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MD D0074799) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-04-25 |