| 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: MD H0097879) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 34.016626) | |
| 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: DE C20012359) | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2025-05-13 |