| NPI | 1245255181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00042075) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 56537) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.36987) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0000109) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 129-320) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-45203) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 10896) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 18921) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 10814212-1205) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-41047) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 30939) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 28463) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-03-06 |