| NPI | 1629021365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A84559) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A84559) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A84559) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-12-30 |