| NPI | 1407083371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11193200) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 241284) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 246806) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2025-07-19 |