| NPI | 1841498193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101258928) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD036594) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0070790) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101258928) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-06-20 |