NPI | 1457318743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA AP7028182) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: LA 3983) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 010278) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2007-07-08 |