NPI | 1922393909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 94058) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 60878239) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036133986) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A153719) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-17986) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2021-02416) | |
Enumeration Date | 2011-06-17 |
Last Update Date | 2024-02-20 |