| NPI | 1174549992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D15233) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MT 8394) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2004-0151) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C1-007174) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |