| NPI | 1831294446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K1528) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K1528) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-06-14 |