NPI | 1649249467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PR 11017) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PR 11017) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2007-07-08 |