NPI | 1811996366 |
---|---|
Former Name | JOSEPH GRIFFIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0035601) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0035601) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0035601) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2022-12-22 |