| NPI | 1326138074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 33515) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 301181) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 28626) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S1133) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD469529) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0063169) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 29264) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 80121) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-4327) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10706700) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD17997) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 58353) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2018017307) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 83385) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.139814) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-09-18 |