NPI | 1770746695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MI 53629) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MI 446) |
284300000X Special Hospital | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |