| NPI | 1295041325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS11841) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL OS11841) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DE C2-0010991) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VA 0102204779) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C2-0010991) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102204779) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2023-05-15 |