| NPI | 1356379507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A112080) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A112080) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A112080) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-06-30 |