NPI | 1740497346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NV 12178) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 12178) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2017-11-27 |