| NPI | 1376551036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2016-00033) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN MD0000027181) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101255283) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U0738) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 40352) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0002465) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0026351) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CO CDR.0002465) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CO CDR.0002465) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-03-19 |