| NPI | 1053892059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0800347) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2024045909) |
| 208U00000X Clinical Pharmacology (Licence: KS 0800347) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-02 |