| NPI | 1558359687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G50296) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OR MD 12489) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD 12489) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G50296) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD 00012038) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: WA MD 00012038) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-11-19 |