NPI | 1699938423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101248747) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC md038552) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA a101821) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2021-11-29 |