NPI | 1356570550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0102209067) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R1933) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60521103) | |
Enumeration Date | 2009-07-08 |
Last Update Date | 2025-02-13 |