| NPI | 1477582096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 17834) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MS 17834) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MS 17834) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 17834) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MS 17834) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-04-28 |