NPI | 1124193206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 6249) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 6249) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2019-10-29 |