| NPI | 1447209069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD#4063) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD4063) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G45681) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-04-27 |