| NPI | 1942475678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036162029) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 390200000X) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01075387A) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VT 0420011789) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 0420011789) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-08-15 |