| NPI | 1467745299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023006787) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP20040558) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P8566) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-16820) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2023-06-15 |