NPI | 1740487354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 29770) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL29770) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101250047) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2013-06-27 |