| NPI | 1295874204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 2014-02458) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2014-02458) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NM MD2009-0095) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-07-21 |