NPI | 1639158744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 17997) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WI 34475-020) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI 17997) | |
207Q00000X Family Medicine (Licence: HI 17997) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: HI 17997) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 100969) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 100969) | |
207Q00000X Family Medicine (Licence: AK 100969) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: AK 100969) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2017-02-15 |