| NPI | 1982640355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI 5696) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL ME41127) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: HI 5696) | |
| 208U00000X Clinical Pharmacology (Licence: HI 5696) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-07-23 |