NPI | 1841633732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61042709) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: AR E-10068) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: WA MD61042709) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-10068) | |
Enumeration Date | 2013-04-10 |
Last Update Date | 2021-10-20 |