NPI | 1619201241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 59008) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 264961) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A109408) | |
Enumeration Date | 2009-09-29 |
Last Update Date | 2022-05-06 |