NPI | 1982818480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116593) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 4301095166) |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A116593) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301095166) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2019-08-15 |