NPI | 1326306267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA OS017826) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C20012359) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MB11510700) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WV 4142) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 34.016626) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD H0097879) | |
Enumeration Date | 2012-04-29 |
Last Update Date | 2024-10-29 |