| NPI | 1548655517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL DO.2238) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02006229A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R5518) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-11-02 |