| NPI | 1285121780 |
|---|---|
| Former Name | JOSHUA JAMES SANDLIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX t5135) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0071656) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-10-13 |