| NPI | 1366546046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 29150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101240018) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 29150) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101240018) | |
| 208000000X Pediatrics (Licence: TN 29150) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101240018) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-01-24 |