| NPI | 1588413157 |
|---|---|
| Former Name | MARGARET ELIZABETH MCGOVERN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351053344) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-07-11 |