NPI | 1093940074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60224718) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O0792) |
Enumeration Date | 2009-05-20 |
Last Update Date | 2024-01-22 |