NPI | 1841871753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 155187) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID 4271551) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2025-08-07 |