NPI | 1427091800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 235443-1) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235443-1) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2013-04-08 |