NPI | 1407800766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 11784) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NV 11784) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NV 11784) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2016-09-14 |