NPI | 1063675916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD150977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD150977) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 125051347) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2021-09-15 |