NPI | 1477649168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13557) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 266779) |
207R00000X Internal Medicine (Licence: NH RT1513) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: NH 13557) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NH 13557) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-02131) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-08-11 |