| NPI | 1790763928 |
|---|---|
| Former Name | JAMES PATRICK RUSNAK-MCGOVERN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX J9548) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2024-01-29 |