NPI | 1225868623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA NP95031206) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA NP95031206) |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-08-02 |