NPI | 1316087422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G37865) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G37865) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G37865) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA G37865) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G37865) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2010-06-03 |