| NPI | 1083659635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 4110) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV CL0056) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA DO-03788) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-78691) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID OC-0046) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 27016) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 66313) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 15992) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 19988) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 3863) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11452352-1204) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 2098) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 05-42575) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H88263) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M8922) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-10-22 |