| NPI | 1285126482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 0S-5849) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL OS-5849) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS-5849) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-12-07 |