NPI | 1730623182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: TN 0000053847) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9601022) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2023-06-02 |