| NPI | 1679655245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 1208) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS7367) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB07488000) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 4230) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 039314) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS012188) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 206566) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-09-21 |