| NPI | 1417338708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-20327) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 168929) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61071219) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 38454) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD197881) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-02-05 |