NPI | 1548221716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD FD5074529) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD037683) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2016-03-07 |