NPI | 1316020738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2015009560) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015009560) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015009560) | |
Enumeration Date | 2006-10-21 |
Last Update Date | 2024-04-25 |