| NPI | 1215172374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD444562) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 309760) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD d0071402) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA c172984) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09438700) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE c1-0024229) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME150497) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2024-08-17 |