NPI | 1013950708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C152398) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0019032) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E1083) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 19032) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2022-03-21 |