| NPI | 1922267632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101277729) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 261808) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 261808) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-06-27 |