| NPI | 1629308424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11583541-1204) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 005662) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 19551) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS19270) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 100970) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 98820) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV CL0066) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO CDR.0000580) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 98820) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2026-05-26 |