NPI | 1437195534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME54131) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AL 00024147) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: LA MD07713R) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2012-04-17 |