NPI | 1477676807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD472239) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0033967) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-01-26 |