| NPI | 1568540920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2007-0737) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2007-0737) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2007-0737) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NM MD2007-0737) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-11-06 |