| NPI | 1477879237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CO DR.0064434) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P9713) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0064434) | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX P9713) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-11-15 |