| NPI | 1932257169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 05-43045) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS1084) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-114730) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20a9432) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2021-05-11 |