| NPI | 1831464072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01073550B) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 336.092282) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 263383) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-09-24 |