NPI | 1235190406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 7957) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA02796300) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101033828) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-07-08 |