| NPI | 1427436088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OK 10884) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OK 10884) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA C36830) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C36830) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PR 21634) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 10884) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 21634) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: OK 10884) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: CA C36830) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: PR 21634) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 10884) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C36830) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 21634) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-03-09 |