NPI | 1871643841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10668000) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD027704E) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D31443) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-03-14 |