NPI | 1295267466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 292292) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 292292) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-04-21 |