| NPI | 1730749680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0068601) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.074632) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068601) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-11-09 |