| NPI | 1629692843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR DO215905) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI DOSR-501) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OR DO215905) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-05-15 |