| NPI | 1700035367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A98044) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: HI MD-11858) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A98044) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-11858) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-11858) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A98044) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-10-31 |