NPI | 1245279017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 101543-1) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G17712) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME15636) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 78302) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2007-07-08 |