NPI | 1093945727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101260238) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-8537) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2016-08-02 |