NPI | 1194955542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q1856) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 142419) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 49055) | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2025-06-16 |