NPI | 1760877237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A160859) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A160859) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A160859) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2024-07-16 |