NPI | 1477082931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101026146) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101023166) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5151012555) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-11-14 |