NPI | 1235371493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: AZ 005517) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R1049) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2016-12-01 |