| NPI | 1598925851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A21611) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 237553) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60274000) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-12-05 |