| NPI | 1649317264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0038913) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD D0038913) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DC MD19227) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD19227) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MD D0038913) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: DC MD19227) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0038913) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD19227) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-09-11 |