| NPI | 1457397903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY C0770) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A55282) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036163207) | |
| 207R00000X Internal Medicine (Licence: TX H2590) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX H5290) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 052625) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A55282) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101053849) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H5290) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01059464A) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 052625) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-08-30 |