| NPI | 1902829484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101053378) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 8504) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 14706) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9900263) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 20744) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 00019515) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 041143) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G13625) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD0000027749) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.11555R) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |