NPI | 1194837336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 186554) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 26381020) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9701761) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-06-03 |