NPI | 1144541376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR PG151476) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO157214) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV DO2575) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A15429) | |
Enumeration Date | 2010-06-22 |
Last Update Date | 2023-05-09 |