| NPI | 1225080013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A52207) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A52207) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A52207) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A52207) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A52207) | |
| 2084P0805X (Licence: CA A52207) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-08-11 |