NPI | 1083933212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042.0012929) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 16627) | |
Enumeration Date | 2010-05-27 |
Last Update Date | 2014-12-01 |