| NPI | 1528100021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: CA C 55101) |
| Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: GA 049407) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: WA MD.61213218) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NY 314609-01) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR MD26579) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-04-16 |