NPI | 1568488963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G56308) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G56308) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA G56308) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-08 |