NPI | 1952501249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101280107) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24598) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2024-10-04 |