| NPI | 1447583208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0036824) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2015-0863) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD042890) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2019-03-21 |