| 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 |