NPI | 1194722264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G36996) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA G36996) |
2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA G36996) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2007-07-08 |