| NPI | 1346657889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 31174) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101270199) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101270199) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-04-17 |