NPI | 1053309260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X (Licence: PR 14240) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PR 14240) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2025-09-23 |