NPI | 1699417097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A190683) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 11427) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-07 |
Last Update Date | 2023-10-13 |