NPI | 1497955587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 22956) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD209076) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR MD209076) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2023-01-28 |