NPI | 1497802383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C178910) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068674) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WA MD60044426) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-07-11 |