| NPI | 1285834440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P8402) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0000980) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 72917) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12060278-1235) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 132048) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 62792) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0000845) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 24388) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036119331) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2024-12-19 |