| NPI | 1639382906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60302051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60302051) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-12-07 |