NPI | 1316382849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A133957) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A133957) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2024-03-12 |