NPI | 1811925803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101239499) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2008-01020) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036157408) | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2024-09-13 |