NPI | 1538384656 |
---|---|
Other Name | BRADY GERONIMO SPECHT CASE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD12323) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 2MA08516300) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 231158) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2022-11-15 |