NPI | 1881682342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME39453) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME39453) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL me39453) | |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-01-03 |