NPI | 1467484907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35122719) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 27448) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-11-03 |