NPI | 1588862262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A95784) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A95784) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A95784) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2012-04-10 |