| NPI | 1467517300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 66937) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX P7703) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 81-320) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 63342) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD187181) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NJ 25MA07334400) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P7703) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07334400) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60835677) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512267) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019011180) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 200587) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-06-21 |