| NPI | 1396803219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 69212) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101230598) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD32729) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 23970) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0002982) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0057146) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 13490168-1235) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA IMLC.MD.61466898) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-24 |