NPI | 1043277700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA a82909) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA A82909) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2017-07-17 |