| NPI | 1437584828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 282652) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA30095100) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 282652) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA30095100) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-09-26 |