NPI | 1316181308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 277746) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.098534) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD444594) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD040476) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0074078) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 53097) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 266226) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301101842) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101266160) | |
Enumeration Date | 2009-04-22 |
Last Update Date | 2023-11-27 |