| NPI | 1841552056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A78728) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 52423) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 61494317) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 326894) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-11-13 |