| NPI | 1588822431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 47625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 47625) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 47625) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 66619) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 66619) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-01-05 |