NPI | 1831185545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-062208) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY C1406) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 67932) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI EMC0005754) | |
Enumeration Date | 2005-09-27 |
Last Update Date | 2024-10-18 |