| NPI | 1215202403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A138817) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A138817) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A138817) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-04-27 |