| NPI | 1598716367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD424840) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0026492) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: PA MD424840) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-02-03 |