NPI | 1104445998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2024013614) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 68908) |
Enumeration Date | 2020-04-11 |
Last Update Date | 2024-08-08 |