| NPI | 1689811739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA g22658) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: HI MD-13059) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA g22658) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-13059) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NC 2014-02353) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2015-11-05 |