| NPI | 1003133521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A119973) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A119973) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A119973) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-09-10 |