NPI | 1649317264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD D0038913) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DC MD19227) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD19227) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0038913) | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MD D0038913) | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: DC MD19227) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0038913) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD19227) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-09 |