NPI | 1356634901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DE C1-0011538) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD473795) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2025-04-16 |