| 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 |