NPI | 1770084634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 18809) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 0551) |
Enumeration Date | 2018-02-26 |
Last Update Date | 2024-05-01 |