NPI | 1174520241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G-027613) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA G-027613) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G-027613) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2007-07-10 |