| NPI | 1053842914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 12759564-8905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12759564-1205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12759564-1205) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-02-20 |