NPI | 1629082458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: RI MD07224) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: RI MD07224) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD07224) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-07-21 |