| NPI | 1811015092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101-256187) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 8225057) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: UT 8225057) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 8225057) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101-256187) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: VA 0101-256187) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-12-24 |