| NPI | 1528141017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0080837) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MD D0080837) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101056625) | |
| 207R00000X Internal Medicine (Licence: VA 0101056625) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-07-10 |