| NPI | 1841336229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0054227) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0054227) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0054227) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-06-02 |