| NPI | 1285891085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OR MD170527) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD036581) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD170527) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-01-04 |