| NPI | 1194132407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0102204914) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 18966) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC DO034697) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL OS13869) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD H0085983) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2025-05-27 |