NPI | 1114365616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-18132) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0444047) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2023-05-30 |