| NPI | 1437597739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A170576) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 286123) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A170576) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2023-10-10 |