NPI | 1821383514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0094427) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61052896) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125059742) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 278997) | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-09-08 |