| NPI | 1275603581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-7236) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94598) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA BC7432951) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-10-13 |