NPI | 1265828446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO210542) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101023280) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101025230) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR DO210542) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2022-07-12 |