NPI | 1629276746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MB08671800) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: NJ 25MB08671800) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2024-03-19 |