NPI | 1952360422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 43851) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: WI 43851) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 43851) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2021-05-04 |