NPI | 1013337930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AK 143481) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MT MED-PHYS-LIC-81221) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2020-10-09 |