NPI | 1891720512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA C54758) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C54758) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2023-03-07 |