| NPI | 1699004101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C36244) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA c36244) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2019-11-11 |