NPI | 1093920266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0011414) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 016683) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2012-06-27 |