NPI | 1669507000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0061805) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 6008) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2022-04-26 |