NPI | 1740446202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R70635) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101252931) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 47093) | |
Enumeration Date | 2008-08-04 |
Last Update Date | 2014-03-19 |