| NPI | 1013030022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MO 2010006687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010006687) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-11-11 |