| NPI | 1649746272 |
|---|---|
| Former Name | YASHAR YOUSEFZADEHFARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 41137) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY P10813) |
| 208D00000X General Practice (Licence: NY P10813) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-06-11 |