| NPI | 1447693403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101266109) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD042846) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0079003) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-06-14 |