| NPI | 1689660441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 83675) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AR E-6072) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-6072) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-01-19 |