| NPI | 1992183537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 5101021692) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101021692) |
| 208000000X Pediatrics (Licence: MI 5101021692) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 5101021692) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-06-06 |