| NPI | 1588771026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A28911) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA A28911) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-09-11 |