NPI | 1447289251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 646-320) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101257831) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 39250) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-03-17 |