NPI | 1588739262 |
---|---|
Other Name | HARRIET COLEMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY A1020221) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY A-1020022-1) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2011-12-15 |