| NPI | 1811958366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD423594) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: PA 423594) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD423594) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-04-01 |