| NPI | 1831329655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME143143) |
| Additional Taxonomies | 2084H0002X (Licence: FL ME143143) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME143143) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME143143) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2025-02-18 |