| NPI | 1134135916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2008-0055) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 54034) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 11959) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-03-05 |