| NPI | 1760644611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO2238) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 52505) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME DO2238) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2016-07-15 |