NPI | 1558483511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2019024511) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0432968) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-07-16 |