| NPI | 1144372269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175L00000X Homeopath (Licence: AZ 67) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20811) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |