| NPI | 1609952407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 68407) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: WI 62533-20) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 62533-20) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-02-28 |