NPI | 1205990256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD445541) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0058359) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MDD30059) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101055431) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2013-05-14 |