| NPI | 1982834883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A154229) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ AB2268301-173) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 284752) | |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2023-11-06 |