NPI | 1598922957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C170458) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036132934) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036132934) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2024-08-07 |