NPI | 1275718553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301056585) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301056585) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301056585) | |
Enumeration Date | 2008-01-04 |
Last Update Date | 2024-11-25 |