NPI | 1245420314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 30106) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD18810) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2024-06-13 |