NPI | 1487159927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A164552) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 1487159927) |
390200000X Student in an Organized Health Care Education/Training Program | |
174400000X Specialist (Licence: CA 1487159927) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2022-07-04 |