| NPI | 1871756353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0055461) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2008014001) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0055461) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2015-07-08 |