NPI | 1336551738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301105142) |
Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MI 5315065056) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-05-20 |