NPI | 1912054990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0045008) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD49507) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TN MD49507) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME0045008) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME0045008) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-11-22 |