| NPI | 1851371660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: PA MD036345E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD 036345-E) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: PA MD 036345-E) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-03-17 |