NPI | 1063401412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OH 34.007242) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34 007242) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2025-08-01 |