| NPI | 1013045863 |
|---|---|
| Other Name | GARY SAMSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C53191) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 034209) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-01-23 |