| NPI | 1518159714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO FR1546300) |
| Additional Taxonomies | 2084P0805X (Licence: MO Fr1546300) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2010-12-20 |