NPI | 1437150521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MD4758) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0008584) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G14195) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2007-07-08 |