NPI | 1346627551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO191028) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA Do.OP.61107091-imlc) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12573352-1204) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 007117) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2022-04-28 |