| NPI | 1295949741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 157032) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NY 157032) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 157032) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 157032) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-12-14 |