NPI | 1477754612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A 92186) |
Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A92186) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A92186) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2024-04-11 |