| NPI | 1275840878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C172363) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: NY 280209) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 280209) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 280209) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-04-17 |