NPI | 1306127311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NV 20660) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital |
Enumeration Date | 2011-09-02 |
Last Update Date | 2023-02-06 |