NPI | 1669719514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME12512) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME 12512) |
Enumeration Date | 2013-01-12 |
Last Update Date | 2013-01-12 |