| NPI | 1093822918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 30231) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 012234) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD13164) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-11-03 |