NPI | 1760498802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NC 9800818) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 9800818) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2024-07-15 |