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 |