NPI | 1952976748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL7469) |
Additional Taxonomies | 174400000X Specialist (Licence: CA PTL7469) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2023-07-04 |