| NPI | 1467502773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C10006895) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DE C10006895) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C10006895) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-12-08 |