NPI | 1881778181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 11293) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND PT 12913) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-08-22 |