| NPI | 1356787816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 05-40030) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 94-08069) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 05-40030) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2021-04-09 |