NPI | 1255474979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C171643) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA C171643) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-41376) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2024-04-30 |