NPI | 1568696631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX F9589) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01057653A) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2013-11-19 |