NPI | 1093938458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD203266) |
Additional Taxonomies | 2084D0003X (Licence: AL R9324) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-01-02 |