| NPI | 1962405084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2016-0266) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 9801445) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 9801445) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 26858) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9801445) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NC 9801445) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-07-27 |