| NPI | 1679526784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101259244) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101259244) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA08836800) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036140146) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD425154) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08836800) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-02-21 |