| NPI | 1093846651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD425828) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2013029398) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2013029398) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD425828) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-10-28 |