| NPI | 1407910730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: MD D0068625) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD31098) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-08-27 |