| NPI | 1467489450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-4380) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MO 100076) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AR E-4380) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 100076) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MO 100076) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AR E-4380) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-05-22 |