| NPI | 1518940832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 5672) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 5672) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 5672) | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: AZ 5672) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: AZ 5672) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 5672) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: AZ 5672) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-12-19 |