NPI | 1487966909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A168833) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0059042) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD488950C) | |
Enumeration Date | 2010-07-13 |
Last Update Date | 2025-08-28 |