NPI | 1346323961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101006386) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101006386) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2025-08-04 |