NPI | 1992812606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL 00012918) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: AL 00012918) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2023-11-29 |