NPI | 1508217928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM MD2020-0322) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM RS2016-0466) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2024-07-05 |