| NPI | 1295747368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 4145) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV 766) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 02847) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A12037) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2016-05-25 |