NPI | 1871737759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD441815) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ 25MA09822900) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09822900) | |
Enumeration Date | 2009-04-23 |
Last Update Date | 2018-06-21 |