NPI | 1427051937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME117663) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01056981A) |
Enumeration Date | 2005-05-30 |
Last Update Date | 2018-04-24 |