| NPI | 1194811281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 0420849) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO R6E66) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: KS 0420849) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MO R6E66) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: KS 0420849) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MO R6E66) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-12-05 |