| NPI | 1518285089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A118135) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD048741) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D90392) | |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2025-05-12 |