| NPI | 1578053138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 98893) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS19034) |
| 183500000X Pharmacist (Licence: AZ S015504) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T9036) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2020-03587) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 009117) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12306263-1204) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0066525) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV CL0305) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2026-01-05 |