NPI | 1780615732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G5833) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX G5833) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX G5833) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX G5833) | |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: TX G5833) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-06-02 |