NPI | 1790059194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101280860) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A163795) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 71519) | |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD478192) | |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 27001) | |
Enumeration Date | 2012-03-02 |
Last Update Date | 2024-07-01 |