| NPI | 1235329103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME MD20113) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD20113) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: ME MD20113) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA08480300) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08480300) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NJ 25MA08480300) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 180105) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NY 180105) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 180105) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-06-19 |