NPI | 1003924663 |
---|---|
Other Name | JASON P BYNUM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A82696) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301083083) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MI 4301083083) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2022-01-10 |