NPI | 1275525834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M5495) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E2071) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2025-09-24 |