NPI | 1336204502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101036793) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D45744) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD21389) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2011-11-14 |