NPI | 1598739690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NM 92-125) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM 92-125) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2018-01-23 |