NPI | 1902838329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 032484) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CT 032484) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CT 032484) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-05-04 |