| NPI | 1952565764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301092111) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301092111) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0086538) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2024-04-01 |