| NPI | 1174546337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 376105-1205) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: UT 3761051205) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-01-27 |