NPI | 1346405024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL DO.2836) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS12276) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101017872) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2023-12-04 |