NPI | 1346822673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 189124) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL6535) |
174400000X Specialist (Licence: CA PTL6535) | |
Enumeration Date | 2021-04-26 |
Last Update Date | 2023-10-05 |