NPI | 1669001251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101273778) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101273778) |
Enumeration Date | 2020-04-06 |
Last Update Date | 2024-07-04 |