| NPI | 1902073216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA08823300) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: NJ 25MA08823300) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA0882330) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NJ 25MA08823300) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-07-17 |