| 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) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-04-29 |