| NPI | 1588740252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G85649) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-091544) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA g85649) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-05-30 |