| NPI | 1447384193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD425876) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA MD425876) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA MD425876) | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: PA MD425876) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD425876) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-04-19 |