NPI | 1841379534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT ct-033091) |
Additional Taxonomies | 174400000X Specialist (Licence: CT CT-033091) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 033091) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2014-06-06 |