| NPI | 1457452674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 100774) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD430027) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AK 100774) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA09349400) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09349400) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD430027) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT184139) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA09349400) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 100774) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD430027) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-12-23 |