NPI | 1245303650 |
---|---|
Former Name | MARK DANA LEVENSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK AL3599) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AK AK3599) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 3599) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2017-03-01 |