| NPI | 1245304823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 46554-020) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0026595) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-18360) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 23448) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 52187) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-06-19 |