| NPI | 1235190406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 7957) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA02796300) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101033828) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |