NPI | 1316950009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 1044572) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 0131521-03) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-08 |