| 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 |