NPI | 1831696426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0102205904) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX V0736) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2025-03-04 |