NPI | 1760424154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NM md2002-0145) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 2002-0145) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-01-27 |