| NPI | 1598875452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA C134038) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA 44404) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WA 44404) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA C134038) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MT 33388) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MT 33388) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-04-04 |