NPI | 1225242647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME98238) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A99784) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME98238f) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2025-06-17 |