| NPI | 1851682116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-9533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-9533) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-02-16 |