NPI | 1306958889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2360) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 2360) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-05-25 |