NPI | 1780940403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD190671) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A142587) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A142587) | |
Enumeration Date | 2012-04-06 |
Last Update Date | 2023-05-10 |