| NPI | 1316923436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX T7144) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 107672) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MO 107672) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-08-03 |