| NPI | 1952347783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0049743) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0049743) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0049743) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD d0046897) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CO DR.0049743) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-01-18 |