| NPI | 1700236049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 225500) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-21956) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL39543) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 39543) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A174699) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-08-08 |