| NPI | 1316208382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016-00187) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 80084) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB10408000) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS17956) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102205320) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A16102) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-04-01 |