NPI | 1932215654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A69685) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA a69685) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A69685) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2019-06-29 |