| NPI | 1285745166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD042494) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2000-01164) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 070951) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-09-08 |