NPI | 1558567248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA A045136) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A045136) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2007-07-08 |