| NPI | 1487885513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301104367) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IN 01081852A) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 270437) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-04-04 |