| NPI | 1346281367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD427009) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD427009) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.095867) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.095867) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-27 |