| NPI | 1114998267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200500309) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 200500309) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 200500309) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-10-02 |