| NPI | 1083125207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A177661) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL644) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A177661) | |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2024-09-17 |