NPI | 1295149797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036171344) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS022745) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 281371) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 281371) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR 183329) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2024-09-11 |