| NPI | 1245643048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS18853) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO217288) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 032.0134177) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036166039) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297758) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL OS18853) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NY 297758) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 1016675) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS020665) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O-1867) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB11880300) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP61439144) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-04-01 |