NPI | 1033284633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A52072) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A52072) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 75347) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A52072) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-10-22 |