| NPI | 1437125838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084H0002X (Licence: CA G31391) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G31391) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2021-03-31 |