NPI | 1184810293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101244062) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 44057) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2020-04-06 |