NPI | 1962763227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: IN 01043276A) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01043276A) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01043276A) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-06-04 |