| 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 |