NPI | 1093909293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 8489) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 8589) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2015-12-28 |