NPI | 1821029042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A66569) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A66569) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2017-06-06 |