| NPI | 1992069843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101261352) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101261352) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR0058234) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-03-21 |