| NPI | 1811957939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.099053) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 200400337) |
| 2084H0002X (Licence: NC 200400337) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 200400337) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200400337) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 200400337) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-09-15 |