NPI | 1861875460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 7551) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 17309) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2022-01-13 |