NPI | 1700811940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 224044) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 224044) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 224044) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2018-03-15 |