NPI | 1598903858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A109162) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A109162) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A109162) | |
Enumeration Date | 2009-01-25 |
Last Update Date | 2021-05-21 |