NPI | 1235870809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 191973) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 11085) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 191973) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-06 |
Last Update Date | 2025-02-03 |