NPI | 1750408548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A116523) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 60 255763) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2006018543) | |
Enumeration Date | 2007-03-25 |
Last Update Date | 2021-04-20 |