NPI | 1699967232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NJ 25MB07835500) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MD H0071081) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 006211) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: DE C2-0009060) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2018-03-17 |