| NPI | 1881852473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 72204) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101252830) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 93695) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD038828) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301512802) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0075083) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2025-02-19 |