| NPI | 1730263617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036139217) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD434911) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101259576) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08775500) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C161292) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1745) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036139217) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-48691) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-03-26 |