| NPI | 1326743030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.50331) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AL MD.50331) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AL MD.50331) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-09-15 |