| NPI | 1336235951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2007-0592) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NM MD2007-0592) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2007-0592) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-11-01 |