NPI | 1023116704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 201159) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 201159) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 201159) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-09 |