NPI | 1497930259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9700947) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 35778) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 9700947) | |
Enumeration Date | 2007-12-28 |
Last Update Date | 2015-10-27 |