| NPI | 1568570026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 37438) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: CO 37438) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CO 37438) | |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2020-05-19 |