| NPI | 1346370582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A86747) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A86747) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA A86747) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A86747) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA A86747) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CA A86747) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: CA A86747) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |