| NPI | 1134423320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD d0080708) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD043741) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101259626) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 269288) | |
| Enumeration Date | 2011-01-02 |
| Last Update Date | 2018-07-27 |