| NPI | 1518064583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2018-01630) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL DO.1388) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 02002502A) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 73929) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 02002502A) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL OS16451) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-02-01 |