NPI | 1801969076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AZ 22102) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G169187) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2023-05-26 |