| NPI | 1821141383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2017-02608) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NC 2017-02608) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 2017-02608) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-12-18 |