NPI | 1467466805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: RI MD04605) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD04605) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2008-05-20 |