NPI | 1477795201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 17541) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 122623) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2021-07-07 |