NPI | 1326393141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A187246) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 27290) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-10-24 |