NPI | 1528262391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD12987) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD12987) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2022-06-22 |