NPI | 1700859238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q7026) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD419196) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2022-05-16 |