| NPI | 1245506120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD462337) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A156154) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D0084491) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-02-09 |