NPI | 1528528429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 328061) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 313122) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 202697) | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-07-08 |