| NPI | 1508994351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-7335) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A92294) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AR E-7335) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NY 249116) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 249116) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: AR E-7335) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A92294) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 249116) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92294) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-12-22 |