| NPI | 1588705917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MD036976) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: DC MD036976) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2024-01-30 |