NPI | 1346353398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N9412) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MB53711) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID O-1982) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2025-07-25 |