| NPI | 1033679287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A198747) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me154761) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA md-49503) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-02-05 |