| NPI | 1851532808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD-14581) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-14581) |
| 208D00000X General Practice (Licence: HI MD-14581) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-01-27 |