| NPI | 1780780031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2007-01837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 040971) |
| 207R00000X Internal Medicine (Licence: NC 2007-01837) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 1837) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 040971) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 1837) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 040971) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-07-10 |