| NPI | 1699060079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 10272476-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10272476-1205) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: UT 10272476-1205) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: AZ 62263) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO CDR.0000891) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MT 90329) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NV 20382) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: ID MC-0652) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: WY 13096C) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 62263) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0000891) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 90329) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 20382) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID MC-0652) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 13096C) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-04-13 |