NPI | 1760665897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D66576) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0066576) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2018-07-10 |