NPI | 1124414743 |
---|---|
Other Name | SHEPERD AZIZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A16510) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 264633) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A16510) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2020-12-22 |