NPI | 1902259880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1744R1102X Specialist, Research Study |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A18101) |
Enumeration Date | 2016-07-15 |
Last Update Date | 2021-11-09 |