NPI | 1346507902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 296171) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A129364) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 067484) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 292466) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0093864) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11025200) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD473567) | |
Enumeration Date | 2012-04-19 |
Last Update Date | 2025-04-27 |