| NPI | 1124256268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CO DR.0052510) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10033784) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P2920) | |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2018-03-17 |