| NPI | 1558332437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 992637831205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 992637831205) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 7608) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A49714) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV 7608) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A49714) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-08-08 |