| NPI | 1538689609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 61193771) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01089819A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 116997) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036162896) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-12-11 |