NPI | 1922210251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A137589) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101252708) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2024-08-30 |