| NPI | 1225526320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 318605) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A178136) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 61967) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-05-31 |