| NPI | 1063828473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-55931) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D87719) |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: IA MD-55931) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IA MD-55931) | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: MD D87719) | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: IL 036169037) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD471812) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2025-11-12 |