NPI | 1285891085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OR MD170527) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD036581) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD170527) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2016-01-04 |