NPI | 1396779385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0031176) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: MD M21440) |
173000000X Legal Medicine (Licence: MD BL0369656) | |
174400000X Specialist (Licence: MD D31176) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-09-13 |