| NPI | 1699933382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD12658) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD12658) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: RI MD12658) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2013-02-06 |