NPI | 1740866979 |
---|---|
Former Name | ARTIN ABOLFAZL MAHDANIAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD2000047) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0091732) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MD D0091732) | |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: DC MD2000047) | |
Enumeration Date | 2021-03-18 |
Last Update Date | 2024-12-10 |