NPI | 1275840878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C172363) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 280209) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 280209) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 280209) | |
Enumeration Date | 2010-09-03 |
Last Update Date | 2024-04-17 |