| NPI | 1801054366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA MD207231) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD039150) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C191667) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-02-27 |