| NPI | 1699153098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-44233) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: IA MD-44233) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD467546) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-08-19 |