| NPI | 1225221732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046909) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N9114) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 54581-021) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2011-05-13 |