| NPI | 1629339148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A141653) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MD-18534) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-11909) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 57439) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 082018) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 58524) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2019004692) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 52178) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 312170) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO DR.0062272) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 19013) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX S3885) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-10-22 |