| 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 |