NPI | 1265469183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: PA MD041519E) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD041519E) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD041519E) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2015-09-09 |