NPI | 1104848191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C143916) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 105097) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-03-07 |