| NPI | 1306983556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-52284) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD218811) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101277092) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 66431) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 218146) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-07-01 |