NPI | 1437726304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND RL17462) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2023-10-10 |