| NPI | 1841591690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA CA28885) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA CA28885) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA CAC28885) | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |