| NPI | 1437291994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 91545) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q6033) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C54591) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 49223) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 34622) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 72854) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.171234) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-12-04 |