| NPI | 1093033789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 24727) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0064121) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.136307) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036156879) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME143130) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 303652) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 53466) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 84710) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 69641) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 52407) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0090198) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 41470) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD458987) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 21739) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2024-04-19 |