NPI | 1245304716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 48587-020) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 48587-020) |
208D00000X General Practice (Licence: WI 48587-020) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX N1475) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N1475) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2014-08-13 |