NPI | 1073571022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 16458) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT16458) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 154425) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 34729) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-09-28 |