NPI | 1063049500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 69864) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 326917) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-02-29 |