NPI | 1942861331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NV DO3488) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA OS022622) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-12-30 |