NPI | 1568588218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: KY 16988) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: KY 16988) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 16988) | |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 16988) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2013-04-17 |