NPI | 1487997573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 108372) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME147679) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2024-09-17 |