| NPI | 1649317835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2022-01782) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0001236) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 64568) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036086312) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 91290) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T8924) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC FR1830365) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-07-26 |