NPI | 1932350691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 140668) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 262855-1) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD19178) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME118056) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2019-07-19 |