| NPI | 1689804866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A129941) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA a129941) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA a129941) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-11-07 |