| NPI | 1235360934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A124923) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD447490) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0025640) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME159548) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0090762) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 319925) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2025-10-08 |