NPI | 1033344429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A113606) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2013-0316) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A113606) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2020-06-10 |