| NPI | 1174939797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0064530) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 68755) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 68755) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-07-25 |