| NPI | 1760836357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0061937) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 61937) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 61937) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-08-12 |