| NPI | 1801827399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD024351E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD024351E) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 118940) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-04-13 |