NPI | 1952308181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: FL ME 71703) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME 71703) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2007-07-08 |