NPI | 1013258631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO CDR.0001809) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0001809) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 5315234608) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD60479306) | |
Enumeration Date | 2013-03-06 |
Last Update Date | 2025-03-24 |