| NPI | 1841515061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA C174001) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C174001) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA C174001) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-07-05 |