NPI | 1033284427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101252210) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 8147) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2022-08-11 |