NPI | 1609221084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 202302030) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO187085) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2023-10-20 |