| NPI | 1558441295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0044995) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC 20244) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0044995) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC 20244) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-03-27 |