NPI | 1891182796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: NY 287272) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 287272) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2023-06-28 |