NPI | 1326067885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 229408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101057427) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2013-09-06 |