NPI | 1033185632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101027981) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101027981) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101027981) | |
Enumeration Date | 2006-02-24 |
Last Update Date | 2009-02-03 |