| NPI | 1033869870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA13123400) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 336892) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.156692) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-08-26 |