NPI | 1134133879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A66239) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A66239) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-08-08 |