| NPI | 1336469287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 7402) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60654447) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.0099636) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-11779) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0057344) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-03-24 |