| NPI | 1598031957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 52826) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME147344) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN MD52826) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-01-20 |