| NPI | 1881891943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME131315) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01082874A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-12617) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101266545) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.137424) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019040260) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 51144) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-01-16 |