NPI | 1942290606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 08569) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2007-07-08 |