| NPI | 1629235486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD14263) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 238333) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 238333) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14263) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-05-18 |