| NPI | 1346685286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME151662) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101280054) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.130057) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35.130057) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NV 18211) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: FL ME151662) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: FL ME151662) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME151662) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 18211) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2024-03-18 |