| NPI | 1144428673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NC 2011-01607) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MO 2011007294) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35.090915) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2011-01607) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: KS 0434911) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-02-09 |