| NPI | 1922393909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 94058) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA 60878239) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036133986) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A153719) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI MD-17986) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2021-02416) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2024-02-20 |