| NPI | 1437344595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: TN 45509) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 45509) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-08-13 |