NPI | 1437377165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: NY 133809) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 133809) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-07-08 |