| NPI | 1679695910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 27590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 27590) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-01-06 |