| NPI | 1558339168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: AZ 32635) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: AZ 32635) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AZ 32635) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-07-22 |