NPI | 1871682047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 247496) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA a83731) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NY 247496) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A83731) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2012-06-08 |