NPI | 1548279870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-116587) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 84272) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q3139) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2024-11-19 |