NPI | 1598962946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T9237) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI md-18234) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2024-06-10 |