NPI | 1477565901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI 5548) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 37671) |
2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: RI 5548) | |
2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MA 37671) | |
Enumeration Date | 2006-08-13 |
Last Update Date | 2014-04-18 |