NPI | 1689019986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VA 0101258978) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101258978) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2018-08-14 |