| NPI | 1619381316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S0806) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-10052) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036167358) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01091858A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 97587) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-43634) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 71709) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME168750) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 69821) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 61496030) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2025-01-17 |