NPI | 1093934531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 26284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 218356) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 218356) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2018-02-28 |