NPI | 1245469089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D75919) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D75919) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2017-10-16 |