| 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 |