NPI | 1194015537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NY 278532) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 278532) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 278532) | |
Enumeration Date | 2011-04-18 |
Last Update Date | 2020-11-19 |