| NPI | 1720093149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME137963) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 214467) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME137963) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 37805) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 37805) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 214467) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-03-07 |