NPI | 1972761047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2012-01144) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 2012-01144) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME114778) | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2022-01-24 |