| NPI | 1881222644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 294985) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 337204) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 35146) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-08-14 |