NPI | 1548441348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD21667) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A52689) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL Me73907) | |
Enumeration Date | 2007-11-20 |
Last Update Date | 2007-11-20 |