| NPI | 1568728327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 82647) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 2017-01882) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2017-01882) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-02-24 |