NPI | 1881623106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1299-320) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 16290) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15727) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV 16290) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MS 15727) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2021-10-18 |