NPI | 1457970246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD20505) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 328331) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-11 |
Last Update Date | 2025-03-14 |