| NPI | 1437259074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 23907) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA IMLC.MD.61179125) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101055126) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 110132) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME143834) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G85590) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0051455) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09439100) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 21087) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301095815) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036089113) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2026-08-31 |