| NPI | 1497704167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 51200-020) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WI 51200-020) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 51200-020) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-04-04 |