| NPI | 1033243779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA03279500) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD020058E) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA03279500) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD020058E) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-09-11 |