NPI | 1598876518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 23901) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 2000-36) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-05-11 |