| NPI | 1639407448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2010-01897) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 2010-01897) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NC 2010-01897) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NC 2010-01897) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 2010-01897) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 2010-01897) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 2010-01897) | |
| 2084P0805X (Licence: NC 2010-01897) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2010-01897) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2024-07-24 |