| NPI | 1154301901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD-47089) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD417859) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD417859) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-03-31 |