NPI | 1497173694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A154761) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301107569) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A154761) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-03-26 |