| NPI | 1588846232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MD D0051608) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MD D0051608) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2012-04-05 |