| NPI | 1477712180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 7206) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 59981) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301511946) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2025-03-05 |