| NPI | 1942327481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD7706) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI 7706) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI 7706) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-01-29 |