| NPI | 1598833410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 13939-20) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI AJ8930984 XJ8930984) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-07-03 |