| NPI | 1184981144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OK 5382) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 5382) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-01-24 |