 Later in 1877 he enrolled at the Ludwig Maximilian University of Munich, where he completed his medical studies in 1880 with a dissertation on microorganisms in sputum.After some months in Paris pursuing his twin interests of psychiatry and poetry, he returned to Munich to become an assistant to Dr. Bernhard von Gudden, one of Germany's leading psychiatrists.During the two years that Panizza worked for Gudden, he was colleagues with Emil Kraepelin, who would later also become a renowned psychiatrist.