| NPI | 1326400813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: VA 0101268960) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VA 0101268960) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101268960) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: VA 0101268960) | |
| 208000000X Pediatrics (Licence: VA 0101268960) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101268960) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101268960) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-11-29 |