| NPI | 1699938423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101248747) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MD038552) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A101821) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-11-29 |