| NPI | 1376514125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 24295) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI EMC0004101) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MS 32517) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 69858) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-01-24 |