| NPI | 1669544169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD446583) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 227766) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13062) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 13062) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-06-17 |