NPI | 1386057487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297415) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA L-259313) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 61163) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME146545) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 269629) | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2021-02-22 |