| NPI | 1225213135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO DR.0062514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437496) |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: PA MD437496) | |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CO DR.0062514) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-10-09 |