NPI | 1508841123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX K7081) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: RI MD08849) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD08849) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD08849) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K7081) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX K7081) | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2013-10-10 |