NPI | 1598835183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C42575) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA C42575) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C42575) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |