NPI | 1295948792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0066026) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 239092) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121102) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 112288) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-06-29 |