NPI | 1427547546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T7402) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036154344) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2024-12-30 |