| NPI | 1396955951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09092000) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA09092000) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ 25MA09092000) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-05-14 |