| NPI | 1033351184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME111210) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME111210) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME111210) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-09-19 |