NPI | 1285167510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV DO3253) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL DO.1883) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2022-12-30 |