NPI | 1225334097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A155693) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.122275) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-01-26 |
Last Update Date | 2021-08-27 |