NPI | 1447562921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AK 135627) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A117772) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2018-10-24 |