NPI | 1093210080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A174275) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 306529) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A174275) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 306529) | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-07-05 |