NPI | 1386938082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A13416) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AK 145695) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA 20A13416) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 145695) | |
Enumeration Date | 2011-05-31 |
Last Update Date | 2020-04-24 |