| NPI | 1750760948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0072118) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 309530) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0072118) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R7181) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-06-17 |