| NPI | 1407174477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A130642) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT197370) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A130642) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2024-04-30 |