| NPI | 1306696851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA DOL.OL.70013090) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AL L.6250R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-07-22 |