NPI | 1144335563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS14006) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6977) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2016-05-23 |