NPI | 1396130993 |
---|---|
Former Name | JULIEN J DE CARVALHO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 88244) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 283442) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2021-03-30 |