| NPI | 1457320905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C50701) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA C50701) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA C50701) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-03-08 |