NPI | 1225083272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C53102) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 5295) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 46626) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2014-04-02 |