NPI | 1386091130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS019814) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068432) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2024-07-17 |