| NPI | 1639731177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 84162-20) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 8526) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 65609) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2024-06-24 |