| NPI | 1366599938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 36869) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 7457) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 4157A) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 36869) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G22895) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G22895) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 36869) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: ID M11089) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G22895) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MT 7457) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WY 4157A) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MT 7457) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WY 4157A) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-08-11 |