| NPI | 1821539230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 308770) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MD H0089118) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102206033) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 308770) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: DC DO034809) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC DO034809) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 308770) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102206033) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H0089118) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-01-24 |