| NPI | 1881040277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0094354) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101271955) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25IA12466800) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 50004) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD210003060) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-03-14 |