NPI | 1346237559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: DE C2-0007931) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C2-0007931) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD h0058703) | |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MD h0058703) | |
Enumeration Date | 2005-10-03 |
Last Update Date | 2018-04-27 |