NPI | 1679205165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID MRM-2191) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2024-07-03 |