| NPI | 1598759474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME58890) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME58890) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME58890) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-08-01 |