NPI | 1750878666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TN 70691) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 70691) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-09-05 |