| NPI | 1295940211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 28042) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO 28042) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CO 28042) | |
| 208U00000X Clinical Pharmacology (Licence: CO 28042) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2011-08-01 |