NPI | 1932593852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD048185) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D009002) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD466276) | |
Enumeration Date | 2015-03-28 |
Last Update Date | 2020-10-22 |