NPI | 1659378826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 43010) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 21289) |
Enumeration Date | 2005-07-04 |
Last Update Date | 2024-08-26 |