| NPI | 1578790531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME154114) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD476686) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 314306) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 65632) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0025448) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 314306) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME154114) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD476686) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 65632) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C1-0025448) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-12-07 |