| NPI | 1992777155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL MD41546) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 9701557) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-05-25 |