NPI | 1194285429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 129036) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS19811) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO217590) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A20755) | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2025-04-09 |