| NPI | 1306983143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL md31615) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 31615) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0064177) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-02-11 |