| NPI | 1477903946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS020463) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101022674) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5151012037) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5315077416) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-06-07 |