NPI | 1396930343 |
---|---|
Other Name | JAIME ALEXANDER BAXTER WILSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical (Licence: WA PSYC.PY.60074792) | |
Enumeration Date | 2007-09-12 |
Last Update Date | 2023-02-09 |